The nursing student is asked to administer a tepid bath to a ...

[cmoore54]

The nursing student is asked to administer a tepid bath to a child with a fever. The student avoids which of the following when performing this procedure?
 
  1. Applies alcohol-soaked cloths over the child's body
  2. Uses a water toy to distract the child during the bath
  3. Places lightweight pajamas on the child after the bath
  4. Squeezes water over the child's body, using the washcloth

Question 2

The nurse is admitting a client with a diagnosis of Guillain-Barr syndrome to the hospital. The nurse knows that if the disease is severe enough, the client will be at risk for which of the fol-lowing acid-base imbalances?
 
  1. Metabolic acidosis
  2. Metabolic alkalosis
  3. Respiratory acidosis
  4. Respiratory alkalosis

[nhea]

Answer to Question 1

1

Rationale: Alcohol should never be used for bathing the child with a fever because it can cause rapid cooling, peripheral vasoconstriction, and chilling, thus elevating the temperature further. Washcloths can be used to squeeze water over the child's body. Towels are used to dry the child. Toys, especially water toys, can be used to provide distraction during the bath. Lightweight clothing should be placed on the child after the child is dried.

Answer to Question 2

3

Rationale: Guillain-Barr is a neuromuscular disorder in which the client may experience weakening or paralysis of the muscles used for respiration. This could cause the client to retain carbon dioxide, leading to respiratory acidosis and ventilatory failure as the paralysis develops. Therefore metabolic acidosis, metabolic alkalosis, and respiratory alkalosis are incorrect.

[cmoore54]

TYSM

[kusterl]

Excellent